A study of sharapunkha kalka vs. jatyadi taila for episiotomy wounds.
Journal name: World Journal of Pharmaceutical Research
Original article title: A comparative clinical study of sharapunkha moola twak kalka with jatyadi taila application on episiotomy wound
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Dr. Nikita Jaiswal and Dr. Ramadevi G.
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: A comparative clinical study of sharapunkha moola twak kalka with jatyadi taila application on episiotomy wound
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr201911-15898
Download the PDF file of the original publication
Summary of article contents:
Introduction
Episiotomies are surgical incisions made in the perineum during childbirth to facilitate delivery and minimize complications for both mother and child. However, proper care and treatment of the episiotomy wound are crucial as it can lead to various complications if neglected. This comparative clinical study evaluates the efficacy of two treatment methods: Sharapunkha Moola Twak Kalka with honey and Jatyadi Taila, aimed at enhancing the healing process of episiotomy wounds.
Healing Properties of Sharapunkha Moola Twak Kalka
Sharapunkha Moola Twak Kalka is noted for its antibacterial and anti-inflammatory properties, which significantly contribute to wound healing. The active ingredients possess qualities that promote faster healing by enhancing blood circulation, thereby assisting in the process of wound contraction and collagen maturation. The application of this kalka is beneficial in treating perineal wounds, as it combines both medicinal and supportive elements to aid in recovery.
Efficacy of Jatyadi Taila
Jatyadi Taila is an Ayurvedic formulation recognized for its ability to promote wound healing (Vrana Ropana) and detoxify (Vrana Shodhana). Comprising multiple herbal ingredients, Jatyadi Taila assists in enhancing the tensile strength of the wound, reducing slough, and providing relief from associated pain and inflammation. Its use is well-anchored in traditional practices, highlighting its effectiveness in treating various types of wounds, including episiotomy sites.
Comparative Effectiveness of Treatments
In the study, results indicated that both Sharapunkha Moola Twak Kalka and Jatyadi Taila were equally effective in promoting wound healing. Subjective and objective assessments, including the Numeric Rating Scale (NRS) for pain and the REEDA scale for wound healing, showed significant improvements in both groups. However, the use of Sharapunkha Moola Twak Kalka with honey specifically demonstrated superior efficacy in managing pain and reducing tenderness in comparison to Jatyadi Taila.
Conclusion
The research findings underscore the significance of appropriate interventions in managing episiotomy wounds. Both treatment methods were effective, with Sharapunkha Moola Twak Kalka exhibiting distinct advantages in pain relief and inflammation reduction. The study advocates for the continued exploration and application of traditional Ayurvedic formulations in modern obstetric care, as they hold great promise in enhancing maternal health outcomes following childbirth.
FAQ section (important questions/answers):
What is the purpose of an episiotomy during childbirth?
An episiotomy is a surgical incision made in the perineum to facilitate the delivery of the fetus, minimize lacerations, and reduce the risk of bleeding during labor.
What are Sharapunkha moola twak kalka and Jatyadi taila used for?
Both Sharapunkha moola twak kalka and Jatyadi taila are traditional Ayurvedic formulations used in treating episiotomy wounds to promote healing and reduce inflammation and discomfort.
What criteria were used for selecting participants in the study?
Participants aged 18-40 who underwent normal vaginal delivery with episiotomy were included, while those with complications or systemic illnesses were excluded from the study.
How was the effectiveness of the treatments assessed?
The effectiveness was assessed through subjective pain scales and objective parameters, including the REEDA scale to evaluate redness, edema, ecchymosis, discharge, and approximation of the wound.
What were the significant findings from the clinical study?
The study found statistically significant improvements in pain, tenderness, and inflammation in both treatment groups, indicating that both formulations were effective in wound healing.
What is the significance of the REEDA scale in this study?
The REEDA scale provides a standardized assessment for evaluating wound healing by measuring parameters such as redness, edema, ecchymosis, discharge, and wound approximation, enhancing the research's reliability.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “A study of sharapunkha kalka vs. jatyadi taila for episiotomy wounds.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Taila (Thaila):
In Ayurveda, 'Taila' refers to oil that is often used for therapeutic applications. It acts as a carrier for herbal ingredients, enhancing their absorption through the skin. In the study, Jatyadi Taila is mentioned for its roles in wound healing (Ropana) and cleansing (Shodhana) properties, making it relevant for treating episiotomy wounds effectively.
2) Vrana:
'Vrana' is a Sanskrit term that translates to 'wound.' In Ayurveda, it encompasses both external injuries and internal afflictions, emphasizing the importance of appropriate treatment for healing. The study highlights different types of Vrana, particularly focusing on the management of episiotomy wounds categorized as Sadyovrana.
3) Sharapunkha (Sarapunkha, Shara-punkha):
Sharapunkha is an Ayurvedic herb known for its therapeutic properties. It possesses Tikta (bitter) and Kashaya (astringent) flavors, which contribute to its healing capabilities. In this study, Sharapunkha Moola's application in the form of a Kalka (paste) aids in promoting faster healing of episiotomy wounds.
4) Pain:
'Pain' is a critical symptom associated with wounds and injuries. This study measures perineal pain intensity in women after episiotomy through a Numeric Rating Scale. Effective pain management is essential in post-operative care, highlighting the importance of the treatments examined in the research.
5) Jatyadi:
Jatyadi is a classical Ayurvedic formulation comprising various herbs and oils. Its usage encompasses wound healing and cleansing. In this clinical study, Jatyadi Taila's application is compared to Sharapunkha Moola and is integral in assessing its effectiveness for promoting recovery from episiotomy wounds.
6) Rasa (Rasha):
'Rasa' means taste or essence in Ayurveda and signifies the fundamental qualities of substances. It indicates their therapeutic effects. Understanding the Rasas of the herbal components used (like Tikta and Kashaya) lends insight into their roles in promoting healing properties in the formulations used in the study.
7) Shodhana (Sodhana):
'Shodhana' pertains to the purification or detoxification process in Ayurveda. It involves cleansing harmful elements from the body or wounds. The study emphasizes this concept, especially regarding wound management, where removing impurities is vital for faster healing and proper care of episiotomy wounds.
8) Ropana:
'Ropana' refers to healing or the process of wound closure in Ayurveda. This concept is central to the study, which evaluates the effectiveness of the applied treatments (Sharapunkha Moola and Jatyadi Taila) in promoting the healing (Ropana) of episiotomy wounds among the participants.
9) Kalka:
'Kalka' denotes a paste made from ground herbs in Ayurveda. It is applied topically to leverage the benefits of its constituents. In the study, Sharapunkha Moola Twak Kalka is highlighted for its ability to expedite wound healing through local application on episiotomy wounds.
10) Incision:
'Incision' refers to a surgical cut made to facilitate delivery during labor, resulting in an episiotomy wound. Understanding the implications of this procedure is crucial for evaluating post-operative care and the appropriateness of applied treatments aimed at enhancing recovery from surgical interventions.
11) Vranaropana (Vrana-ropana):
The term 'Vrana-ropana' refers to the healing process of wounds in Ayurveda. This study evaluates the efficacy of two treatments (Sharapunkha Moola Twak Kalka and Jatyadi Taila) specifically for their roles in enhancing Vrana-ropana in women who have undergone episiotomy.
12) Drug:
'Drugs' refer to the herbal preparations tested in this study, including Sharapunkha Moola Twak Kalka and Jatyadi Taila. Their combined effects on wound healing processes are assessed, demonstrating the importance of these formulations in managing post-operative conditions, particularly in episiotomy cases.
13) Kashaya (Kasaya):
'Kashaya' means astringent in Ayurvedic terms. This quality is significant for stimulating the healing process and cleansing wounds. The study highlights the role of Kashaya Rasa in the compositions used for treating episiotomy wounds, emphasizing its value in wound management.
14) Honey:
Honey, referred to as 'Madhu' in Ayurveda, is recognized for its antimicrobial and soothing properties. Its use in wound care is well-established, and in this study, honey is combined with Sharapunkha Moola to enhance wound healing through its natural properties.
15) Study (Studying):
'Study' refers to the comparative clinical research outlined in this document. It aims to evaluate the effectiveness of two different treatments for episiotomy wounds. The structured approach seeks to contribute to knowledge regarding post-operative care in obstetric settings.
16) Vranashodhana (Vranasodhana, Vrana-shodhana):
'Vrana-shodhana' pertains to the cleansing or purification of wounds. This approach prepares wounds for healing by removing debris and infection. The study focuses on this process, essential for reducing complications and enhancing recovery following episiotomy procedures.
17) Guna:
'Gunas' designates the inherent qualities ascribed to substances in Ayurveda. By studying Gunas, the research elucidates how different ingredients influence therapeutic outcomes, notably concerning pain, inflammation, and overall recovery in wound management.
18) Ayurveda (Ayus-veda):
'Ayurveda' is a traditional system of medicine originating in India, focusing on holistic health and well-being. This study applies Ayurvedic principles to modern medical issues, particularly obstetrics, examining herbal remedies' efficacy for wound healing after surgical interventions.
19) Swelling:
'Swelling' denotes inflammation that often follows surgical interventions like episiotomies. The study measures swelling as an objective parameter, highlighting the relevance of assessing inflammation in determining the effectiveness of the studied treatments for wound healing.
20) Lekhana:
'Lekhana' is the Ayurvedic concept of scraping or removing unwanted material. In the context of wound management, Lekhana actions help in debriding necrotic tissue. The study highlights this principle, signifying its importance for effective healing of episiotomy wounds.
21) Edema (Oedema):
'Edema' denotes an accumulation of fluids causing swelling, commonly seen in post-surgical scenarios. Monitoring edema in patients post-episiotomy is crucial, as the study evaluates treatments' effectiveness in managing this complication and improving overall recovery.
22) Labour (Labor):
Labor refers to the process of childbirth, during which episiotomy may be performed. The study aims to improve post-operative care for women experiencing labor, underlining the significance of applying effective wound healing remedies in this context.
23) Madhu:
Madhu, or honey, is acknowledged in Ayurveda for its wound healing properties. Its application in facets of wound care is discussed in the study, where its benefits for promoting healing and managing aspects of episiotomy are explored.
24) Tikta:
'Tikta' signifies a bitter taste in Ayurvedic classification. Many Tikta Rasa herbs are employed for their detoxifying and healing capabilities. Understanding this property helps frame the rationale behind using certain herbs in the formulations observed in the study.
25) Inflammation:
Inflammation is the body’s response to tissue injury, often observed in wounds. Analyzing inflammation levels through subjective and objective parameters is crucial in the study, shedding light on how effectively treatments manage post-operative conditions.
26) Karnataka:
Karnataka is a state in India where the study was conducted. The geographical and cultural context plays a role in the Ayurvedic practices and treatments utilized for managing episiotomy wounds, highlighting regional influences on medical practices.
27) Bleeding:
'Bleeding' is a significant concern following surgical interventions. Managing post-episiotomy bleeding is crucial for patient safety. The study addresses the need for effective treatments to minimize complications associated with bleeding and aid in recovery.
28) Sukshma (Suksma, Shukshma):
'Sukshma' refers to the subtlety of herbal actions in Ayurveda. It describes how certain treatments penetrate deep tissues to achieve therapeutic effects. The study emphasizes the relevance of Sukshma actions in enhancing the healing processes of wounds.
29) Prasuti:
'Prasuti' pertains to obstetrics and the care around childbirth. Understanding this context is essential for the study, as it explores postpartum therapies available to women undergoing procedures like episiotomy, applicable within an Ayurvedic framework.
30) Tantra (Tamtra, Tantrism):
'Tantra' refers to systems or frameworks of practice in Ayurveda. This study falls under the tantric approach of managing post-operative care through ancient wisdom blended with current clinical practices, particularly focusing on efficacy in wound healing.
31) Ruksha (Ruksa):
'Ruksha' conveys the quality of being dry or non-moist, significant in contexts of wound healing. Treatments balancing Ruksha qualities are examined in the study, crucial for addressing moisture-related issues in healing processes.
32) Vipaka:
'Vipaka' relates to the post-digestive effects of substances. In Ayurveda, understanding a drug's Vipaka aids in determining its suitability for addressing conditions like wounds. The different Vipaka actions of the materials used indicate their roles in healing.
33) Chinna:
'Chinna' means cut or severed, and relates to wounds like those from an episiotomy. Recognizing the nature of Chinna wounds is vital for the study, which aims to enhance healing outcomes for women undergoing surgical delivery.
34) Lepa:
'Lepa' refers to a paste or topical ointment in Ayurveda, used for therapeutic application on surfaces. The study looks at the application of Kalka or 'Lepa' as a method for administering herbal treatments to facilitate wound healing.
35) Katu:
'Katu' implies a pungent or sharp taste, contributing to the herb's therapeutic effects. The use of Katu properties in formulations for wounds is significant, allowing a deeper understanding of the beneficial attributes of the herbs evaluated in the study.
36) Tear:
'Tears' may refer to the emotional aspect of recovery or physical injuries. Understanding their relevance emphasizes the holistic approach to healing, considering emotional and psychological recovery alongside physical wellness.
37) Antibiotic (Antibacterial):
'Antibacterial' describes substances that combat bacterial growth. Many ingredients used in Ayurvedic formulations possess antibacterial properties. The study evaluates these effects regarding infection prevention and promoting healing in episiotomy wounds.
38) Chinnavrana (Chinna-vrana):
'Chinna-vrana' refers specifically to wounds caused by cuts, relevant in the context of episiotomy. This term helps categorize and manage the types of wounds being treated in the study, focusing on appropriate therapeutic responses.
39) Sadyovrana:
'Sadyovrana' indicates an acutely created or surgical wound. The study underscores the importance of understanding Sadyovrana, as it is directly applicable to the episiotomy procedure, seeking insights on effective treatments for enhanced healing.
40) Suffering:
'Suffering' encompasses the physical and emotional distress associated with medical procedures like episiotomy. Understanding the suffering experienced by patients permits better targeted therapies in the study, addressing pain and promoting overall well-being.
41) Katurasa (Katu-rasa):
'Katu-rasa' denotes the pungent taste found in specific herbs, contributing to their therapeutic functions. Evaluating the presence of Katu-rasa in formulations highlights its role in healing and enhancing drug efficacy in this context.
42) Upakrama:
'Upakrama' signifies therapeutic procedures or treatments in Ayurveda. The study closely examines Upakramas applied in treating episiotomy wounds, analyzing their effectiveness in restoring health and facilitating recovery in patients.
43) Sandhana (Samdhana):
'Sandhana' refers to the action of uniting or healing wounds, making this concept vital in the study. Exploring the treatments' effectiveness through Sandhana provides crucial insights into optimizing healing practices for episiotomy recovery.
44) Asadhya:
'Asaadhya' means difficult or impossible to treat. Understanding this concept allows researchers to differentiate cases that may become challenging during post-operative care, emphasizing the importance of thorough assessments and appropriate interventions.
45) Channel:
'Channel' refers to the pathways that substances follow in the body. Recognizing their function facilitates understanding the methodologies applied in traditional Ayurvedic practices and how treatments affect bodily systems related to wound healing.
46) Kalpana:
'Kalpana' relates to composition or formulation in Ayurveda. The study evaluates the Kalpana of different herbal treatments, emphasizing their preparations and suitability for specific health conditions, particularly in handling episiotomy wounds.
47) Vyavayi:
'Vyavayi' signifies the penetrative nature of certain therapies. In the study, understanding the Vyavayi properties of the herbal ingredients can elucidate the mechanisms by which they affect deeper tissues during the wound healing process.
48) Vedana:
'Vedana' translates to pain in Sanskrit, critical in evaluating patients' experiences after undergoing procedures like episiotomy. Effectively addressing Vedana is essential for improving the quality of care and outcomes in health management.
49) Vikasin (Vikasi, Vikashin):
'Vikasi' pertains to the expansion or spreading of properties in Ayurveda. Understanding this term aids in assessing how treatments circulate in the body, particularly concerning their effects on wounded areas and overall recovery.
50) Dosha (Dosa):
'Dosa' describes the three energetic forces in Ayurveda. Understanding the balance of Doshas is vital for applying suitable treatments, particularly for managing health conditions related to surgical wounds effectively.
51) Laghu:
'Laghu' signifies lightness, often referring to the qualities of herbs or treatments that may impact digestion or healing. This attribute's presence is examined in the study, contributing to devising effective combinations for managing episiotomy wounds.
52) Mamsa (Mamsha):
'Mamsa' means flesh or muscle in Ayurvedic terminology. Its relevance relates to the physiological aspects affected during wound healing. Evaluating Mamsa helps in understanding healing modalities necessary for managing anatomical concerns post-episiotomy.
53) Ushna (Usna):
'Ushna' indicates heat in Ayurveda. Many herbs have Ushna properties that can stimulate circulation and enhance healing. The application of Ushna qualities in treating wounds is critical, underlining how they contribute to positive clinical outcomes.
54) Virya:
'Virya' refers to potency or strength in Ayurveda, highlighting the effectiveness of substances. Analyzing the Virya of various herbal preparations informs practitioners of their expected efficacy concerning wound healing and the impact on recovery processes.
55) Vedanasthapana (Vedana-sthapana):
'Vedana-sthapana' refers to producing relief from pain. In this study, acknowledging the importance of Vedana-sthapana guides the development of treatments aimed at alleviating discomfort and improving the quality of life for women post-episiotomy.
56) Daruharidra (Daru-haridra):
Daruharidra is a herb with notable anti-inflammatory and antimicrobial properties. Its inclusion in formulations like Jatyadi Taila enhances wound healing capabilities and supports recovery from surgical incisions such as episiotomy.
57) Surrounding:
'Surrounding' refers to the tissues and areas around a wound. The study emphasizes the importance of assessing surrounding conditions and factors that can influence healing, ensuring comprehensive care to minimize complications.
58) Observation:
'Observation' is a crucial element of clinical studies where data is collected on patient outcomes. In this study, systematic observation of parameters helps assess the effectiveness of treatments applied for episiotomy wounds.
59) Discussion:
'Discussion' in a research context provides a platform to interpret results and relate findings to existing knowledge. This section explores the implications of the study's outcomes and reflects on how they contribute to advancing wound healing practices.
60) Naktamala (Nakta-mala):
Naktamala, or Snake Gourd, possesses medicinal properties beneficial for wound healing. Its inclusion in Ayurvedic formulations assists in addressing complications associated with episiotomy wounds, enhancing recovery through its contributions to the overall treatment.
61) Manjishtha (Manjistha, Mamjishtha):
Manjistha, known for its blood-purifying and anti-inflammatory properties, plays a significant role in Ayurvedic formulations. Its use supports effective management of wounds by promoting detoxification and facilitating the healing process post-surgery.
62) Nilotpala:
Nilotpala, or Blue Lotus, is recognized for its soothing and calming properties. In the context of wound management, its inclusion signifies the desire to reduce inflammation and enhance the quality of healing processes in episiotomy recovery.
63) Inference:
'Inference' involves drawing conclusions based on research data. In this study, examining the effectiveness of the treatments leads to important inferences regarding optimal approaches for managing episiotomy wounds and improving patient outcomes.
64) Flavonoid:
Flavonoids are compounds with strong antioxidant and anti-inflammatory properties. In this study, understanding their role within herbal preparations aids in elucidating the mechanisms by which treatments enhance wound healing and reduce complications post-episiotomy.
65) Prabhava:
'Prabhava' signifies the specific effects or benefits derived from different treatments. Evaluating the Prabhava of the studied remedies helps in establishing their relevance and effectiveness in managing episiotomy wounds effectively.
66) Shoshana (Sosana):
'Shoshana' refers to the drying or desiccating effect on tissues, significant in wound management. Recognizing this principle aids in assessing how effective the treatments are at dehydrating and cleansing wounds for improved healing outcomes.
67) Avarodha:
'Avarodha' refers to obstructions that can hinder healing or proper body function. This concept is vital in understanding how treatments should aim to eliminate Avarodha to optimize recovery processes in wound management.
68) Sthanika:
'Sthanika' represents local or specific conditions in the body. In the study, addressing Sthanika factors ensures more targeted and effective treatments, crucial for promoting optimal healing and recovery in the context of episiotomies.
69) Romakupa (Roman-kupa):
'Romakupa' refers to hair follicles in Ayurveda. Understanding Romakupa's role in absorption processes can benefit treatment applications for wound healing, fostering efficient delivery of therapeutic agents through these natural channels.
70) Agantuja (Agantu-ja):
'Agantuja' refers to injuries caused by external factors. Classifying episiotomy wounds under this term emphasizes the need for immediate and appropriate care, guiding interventions in post-surgical settings.
71) Sthapana:
'Sthapana' signifies establishment or positioning. This term is relevant as it describes the establishment of healing processes or conditions favorable for recovery, fundamental to the study's focus on promoting effective wound healing.
72) Activity:
'Activity' references the functions or actions of certain therapies or substances within the body. Understanding various activities tied to herbal medicines helps illuminate their efficacy in treating wounds after procedures like episiotomies.
73) Vitiation (Vitiated):
'Vitiated' identifies imbalances in the body's doshas (Vata, Pitta, Kapha), which can lead to various health issues. Recognizing vitiated conditions guides Ayurvedic practitioners in tailoring treatments to restore balance and facilitate healing in wounds.
74) Yogavahin (Yogavahi, Yoga-vahi, Yoga-vahin):
'Yogavahi' denotes a substance's ability to transport active principles throughout the body. Understanding the Yogavahi properties of the herbal preparations helps explain their effectiveness in delivering therapeutic benefits for wound healing.
75) Padmaka:
Padmaka refers to a specific herb known for its wound healing properties. Its inclusion in Ayurvedic formulations enhances the effectiveness of treatments aimed at managing post-operative care, particularly in recovering from episiotomy.
[Note: The above list is limited to 75. Total glossary definitions available: 106]
Other Science Concepts:
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